- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $582.00 / $629.00 / $2,530.00
| Facility | | $582.00 | $629.00 | $2,530.00 |
- Facility/Professional
- Facility
- Modifier
- 52
- Low / Median / High Price
- $1,468.02 / $1,468.02 / $1,468.02
| Facility | 52 | $1,468.02 | $1,468.02 | $1,468.02 |
- Facility/Professional
- Facility
- Modifier
- AS
- Low / Median / High Price
- $183.50 / $183.50 / $183.50
| Facility | AS | $183.50 | $183.50 | $183.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1,611.44 / $2,041.55 / $2,748.57
| Professional | | $1,611.44 | $2,041.55 | $2,748.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $303.00 / $362.00 / $1,109.00
| Facility | | $303.00 | $362.00 | $1,109.00 |